exam i: ch9 - therapeutic communication Flashcards
what is the foundation of developing therapeutic nurse-patient relationship
therapeutic communication
purposeful use of communication to build and maintain helping relationships with patients, families, significant others
- patient centered, goal directed, science based
therapeutic communication
self talk
intrapersonal communication
one and one talks with another individual
interpersonal communication
according to peplau’s interpersonal theory, what are the 2 main principles that guide the communication process
clarity, continuity
meaning of the message is clear to both parties
clarity
promotes connections among ideas, feelings, events, themes
continuity
2+ people in a small group talk
small group communication
addresses the pt’s spiritual needs and provides interventions to meet those needs
transpersonal communication
what is the correct way to address hallucinations and delusions
validate what they see, but tell the truth (voice doubt)
t/f: we believe nonverbal behavior more than verbal cues
true
mutually contradictory messages, usually given by a person in power
“just go out and have fun. i’ll just stay here all alone then”
double blind messages
NOT the absence of communication, but a specific channel for transmitting and receiving messages
the use of silence
nurses focus, respond, and remember what the patient is saying verbally and nonverbally
- can enhance self esteem and encourages pt to direct energy towards finding coping mechanisms
active listening
therapeutic comm technique:
more than a yes/no question; encourage pts to share information about experiences, perceptions, or responses to a situation
- Let’s talk about your night, what can i do to help?
open ended question
therapeutic comm technique:
yes/no question; used sparing can give specific and needed information
- Would you like me to come back at a later time to talk to you?
close ended question
therapeutic comm technique:
request feedback to aid in understanding
- You said you didn’t feel like anyone here cares, is that right?
clarification
therapeutic comm technique:
active listening strategy that helps nurse show that they understand what pt is saying
- You are saying that you are not getting enough sleep or getting the food you ordered?
restatement
therapeutic comm technique:
restate the basic content of patient’s message in different, fewer words
paraphrase
therapeutic comm technique:
assisting pts to better understand their own thoughts and feelings
- it sounds like you have a lot going on, lets talk about what is bothering you
reflection
therapeutic comm technique:
assure patient that what they are wanting to communicate about is worthy of your time and effort
validate
therapeutic comm technique:
gathering more info
exploring
therapeutic comm technique:
“what if” or miracle questions
projective questions
therapeutic comm technique:
being in the moment with pt by using nonverbal and verbal cues
attending
why is excessive questioning bad
pt not knowing which question to answer + lead to confusion
why is giving approval/disapproval bad
implies pt is doing right thing with focus on pleasing the nurse
disapproval can make pt defensive
why is giving advice bad
assumes nurse knows best and pt can’t think for themselves
why is asking “why” questions bad
demands explanation and implies wrongdoing
why is giving false reassurance bad
underrates pt feelings and belittles their concerns…can become an issue if person giving advice ends up being wrong
live interactive mechanism that is used to track clinical data and to provide access to people that otherwise might not receive good medical/psychosocial help
telehealth
